Is there an effective treatment for prostatitis?Drugs for the treatment of any prostatitis in men, what drugs are the basis of the choice?Inflammation of the prostate gland can affect a person at any age, therefore drugs for the treatment of the prostate are used to treat both acute and chronic pathologies.The possibility of prescriptions and their use is evaluated by a urologist only after a detailed examination of the patient and diagnostic measures.
But first of all, remember that in addition to the drugs described below, prostatitis in men should be treated thoroughly.Special diet, physiotherapy and exercises take the lion's share in the treatment of this disease.Don't forget that.
Rational antibacterial therapy
The most common cause of prostatitis is the penetration of pathogenic bacteria into the gland.Therefore, antibiotics are the drugs of choice for the treatment of acute and chronic prostatitis in men.
First of all, broad-spectrum drugs are prescribed for the treatment of prostatitis, and narrow-spectrum drugs (against the corresponding pathogen) are prescribed after obtaining the results of the bacterial culture.If a pathogenic microorganism is not identified, which occurs frequently enough, treatment with the same broad-spectrum antibiotic is continued, provided that there is a positive dynamic during admission.In exceptional cases, the antibiotic is empirically replaced by another (based on the physician's own experience).
Let's see what lists of drugs (antibiotics) are considered effective for the treatment of prostatitis in men.
Fluoroquinolones
These are broad-spectrum drugs with a high direct accumulation capacity in prostate tissue in men.Due to this feature, they are highly effective in the treatment of prostatitis.
But despite this, these antibiotics are prescribed with caution for men, because they have the following side effects:
- From the gastrointestinal tract - heartburn, epigastric pain, nausea, diarrhea, vomiting.
- From the side of the central nervous system - ototoxicity, insomnia, drowsiness, dizziness, headache, convulsions, paresthesia, tremor.
- Possible allergic reaction - itching, rash, Quincke's edema.
It is prohibited to prescribe fluoroquinolones for the treatment of severe cerebral atherosclerosis, deficiency of an enzyme such as glucose-6-phosphate dehydrogenase, and allergic reactions to drug components.
Tetracyclines and macrolides
These are broad-spectrum antibiotics, but it should be noted that such drugs have low activity against staphylococci, Pseudomonas aeruginosa and Escherichia coli.
Most of the side effects of taking tetracyclines are associated with disorders of the gastrointestinal tract - nausea, vomiting, heartburn.In large doses, these antibiotics are hepato- and nephrotoxic.
Antibacterial agents for the treatment of prostate of this group, as well as fluoroquinolones, penetrate well and accumulate in the prostate gland in men.This is the most non-toxic group of antibiotics, with fewer side effects than other drugs.
Macrolides mainly have a bacteriostatic effect.They work well against gram-positive bacteria and intracellular parasites (chlamydia, legionella, mycoplasma).
Criteria for selection of antibacterial agents
Remember that antimicrobial agents are prescribed for treatment individually for each patient, taking into account various factors.Let's take a closer look at them:
- The pathogen that causes the disease.
- Form of pathology (chronic or acute) and severity.
- The presence of contraindications for the patient.
- Side effects.
- Bioavailability of antibacterial drugs in prostate tissue.
- The way the drug enters the patient's body.
Do not try to treat prostatitis yourself, because it can harm you and cause pathogenic flora that makes the disease resistant to antimicrobial agents.If there is no positive effect of treatment with antibacterial agents within 3 days, they should be replaced with another group.
Symptomatic and pathogenetic therapy
Such treatment of prostatitis in men with drugs improves the patient's quality of life and increases the speed of recovery by eliminating the symptoms of the disease.This includes:
- Alpha adrenergic blockers.Medicines in this group are definitely used in the complex treatment of prostatitis in men to facilitate urination, prevent stagnation of secretions in the gland and eliminate its reverse reflux.Their action is to eliminate the spasm of the smooth muscles of the prostate, bladder and ureter walls.They are also used for prostate adenoma.
- Nonsteroidal anti-inflammatory drugs (NSAIDs).NSAIDs help reduce inflammation in the glandular tissue, thereby improving urination and eliminating stagnation of secretions.They also relieve pain.
- Hormonal drugs.The prostate is a hormone-dependent organ, that is, its functionality is affected by the hormonal background in the male body.The essence of hormonal therapy is to take antiandrogen drugs that reduce the amount of male sex hormones in the patient's body.It helps reduce inflammation and the amount of glandular tissue in the prostate.
We have listed the main drugs that are best used for the treatment of prostatitis at the current stage of medical development.Remember that you should always consult your doctor before buying them.